SafePlants

Syrup of Ipecac

Syrup of Ipecac, commonly known as ipecac, is a medicinal product derived from the ipecacuanha plant. It was historically used as a cough syrup and, more notably, as an emetic (vomit-inducing agent), especially in cases of accidental poisoning.

Considerations for Children

• Historically, Ipecac syrup was administered to children who had ingested poison to induce vomiting.

Common and Scientific Names:

• Common Name: Ipecac
• Accepted Scientific Name: From the dried rhizome and roots of either of two tropical American plants (Cephaelis acuminata and C. ipecacuanha)

Taxonomy and Nomenclature:

• Family: Madder family (Rubiaceae)
• The syrup is an alkaloid extracted from the roots of Cephaelis ipecacuanha, or sometimes Psychotria ipecacuanha.

Historical Context:

• Ipecac has a long history of medicinal use.
• It was once a common household remedy recommended by pediatricians for inducing vomiting after accidental poisoning.
• The American Academy of Pediatrics (AAP) now recommends against its use in the home.
• The Food and Drug Administration (FDA) approved it for over-the-counter sale in 1965.

Uses and Effectiveness:

• Ipecac syrup irritates the stomach lining, triggering vomiting.
• It was primarily used to expel ingested toxins from the body.

Important Precautions:

• Only the syrup form of ipecac should be used. Fluidextract and Tincture forms are not appropriate.
• Ipecac should not be administered to patients with a decreased level of consciousness.

Availability and Recall Information:

• Humco-brand syrup of ipecac was subject to a nationwide recall due to a labeling error.
• Some specific NDC (National Drug Code) numbers for discontinued products are available.

Further Information:

• More information can be found on WebMD, Encyclopedia.com, and Medscape.